Tele-Critical Care

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Remote Nurses

  • 1.  Remote Nurses

    Posted 12-10-2021 14:47

    Hi group! Are there any eICU's out there who have nurses working remotely? Our facility has shown interest and we wanted to see if anyone else has explored this option!

    Whitney 

    Whitney Gibson, PharmD, BCCCP

    Clinical Pharmacist |Critical Care|eICU

    e: Whitney.Gibson@baycare.org

    Baycare Health Systems

    900 Carillon Parkway

    Saint Petersburg, Florida 33716



    ------------------------------
    Whitney Gibson
    Critical Care Pharmacist
    BayCare Health System
    Saint Petersburg FL
    ------------------------------


  • 2.  RE: Remote Nurses

    Posted 12-10-2021 21:35
    VA Telecritical west , has core nursing group in Minneapolis. But now has three additional hub (chicago, Las Vegas and Los angles) from where nurse are working via network connection through central core in Minneapolis
    Subhash Patel

    Sent from my iPhone




  • 3.  RE: Remote Nurses

    Posted 01-02-2022 15:23
    Thank you! Do you have any contact information for their Nursing or Medical Director?

    Whitney

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    Whitney Gibson
    Critical Care Pharmacist
    BayCare Health System
    Saint Petersburg FL
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  • 4.  RE: Remote Nurses

    Posted 01-02-2022 17:52
    There is a difference between working from remote hubs in different locations versus working from home.  Which one are you referring to?  

    Text or call 312-613-0031 with urgent concerns

    Michael Ries, MD, MBA, FCCM, FCCP, FACP
    mhriesmd@gmail.com
    Cell:  312-613-0031


     This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof.






  • 5.  RE: Remote Nurses

    Posted 01-04-2022 16:28
    Hey Michael! I'm referring to having them work from home.

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    Whitney Gibson
    Critical Care Pharmacist
    BayCare Health System
    Saint Petersburg FL
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  • 6.  RE: Remote Nurses

    Posted 01-04-2022 17:47
      The workflows will definitely be different depending on the number of beds that the teleCritical Care program covers and whether they also provide coverage for ED ICU boarders, RRTs, Covid Surge units, etc.   

    Text or call 312-613-0031 with urgent concerns

    Michael
    Michael Ries, MD, MBA, FCCM, FCCP, FACP
    Medical Director, Critical Care, TeleCritical Care, TeleSepsis, and Patient Command Center
    Advocate Aurora Health
    mhriesmd@gmail.com
    Cell:  312-613-0031


     This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof.






  • 7.  RE: Remote Nurses

    Posted 01-04-2022 17:59
    Our workflows have really remained much the same with the addition of communication tools, but the eICU RNs at home are providing the exact same care with the same workflows and practices.

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    Cheryl Hiddleson
    Director Emory eICU Center
    Emory EICU Center
    Atlanta GA
    ------------------------------



  • 8.  RE: Remote Nurses

    Posted 01-05-2022 04:32
    In moving to decentralized processes- what type of communication tools do you all use? What are the contingency plans for downtimes? Is there always a 'group' at a centralized location which has redundant internet, power, etc. ? 

    Respectfully,

    Craig 

    336.207.0194  



    The information contained in this electronic e-mail transmission and any attachments are intended only for the use of the individual or entity to whom or to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering this communication to the intended recipient, you are hereby notified that any dissemination, distribution, copying or disclosure of this communication and any attachment is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by telephone and electronic mail, and delete the original communication and any attachment from any computer, server or other electronic recording or storage device or medium. Receipt by anyone other than the intended recipient is not a waiver of any attorney-client, physician-patient or other privilege.





  • 9.  RE: Remote Nurses

    Posted 01-05-2022 06:22

    Craig,

          We always have at lest one nurse out of four in the work area. We do at times have three nurses at home, but there as I said there is always one in the centralized hub. If there is a outage of some sort that affects the nurse at home they are required to go in to the hub.

           We currently use an additional audio video tool for verbal communication between our staff in the hub and those at home. We have a 42 inch screen up in the hub and a speaker so the at home person/people can be seen and heard if there is a question or need. The nurses have a virtual huddle at the beginning of each shift. 


          We are also working on a Teams chat functionality to allow for non verbal communications between all staff. 



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    Cheryl Hiddleson
    Director Emory eICU Center
    Emory EICU Center
    Atlanta GA
    ------------------------------



  • 10.  RE: Remote Nurses

    Posted 01-05-2022 10:23
    How do you handle technical problem of internet connection from home and security issues
    Patel

    Sent from my iPhone




  • 11.  RE: Remote Nurses

    Posted 01-05-2022 10:34
    All of our at home staff connect directly to the Emory network via a private VPN, so there is not security concern from that perspective. They also sign a privacy and disclosure agreement with Emory before they work from home that also holds them accountable. For individuals at home that might experience a network issue, they know that they must come into the hub if their connection is unreliable for any reason.

    ------------------------------
    Cheryl Hiddleson
    Director Emory eICU Center
    Emory EICU Center
    Atlanta GA
    ------------------------------



  • 12.  RE: Remote Nurses

    Posted 01-03-2022 07:15

    My eICU nurses work from home. I purchased laptops, monitors, a docking station and web camera for each. I currently have 5 nurses out of 15 working from home at a time (some did not want to participate). They work one month at home than two months in the clinical operations room. That way it gives everyone a chance to take advantage of this model of care. I am presenting a session at the SCCM conference to explain in more depth on Feb 8th at 9am. Come listen or view virtually if you are not there!



    ------------------------------
    Cheryl Hiddleson
    Director Emory eICU Center
    Emory EICU Center
    Atlanta GA
    ------------------------------



  • 13.  RE: Remote Nurses

    Posted 01-03-2022 11:45
    Hi Cheryl,
    Appreciate you sharing your experience with us.
    I am curious to know the responsibilities of these eICU nurses.
    Thank you!


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    Ramon Gist
    State University of New York Downstate Medical Center
    Brooklyn NY
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  • 14.  RE: Remote Nurses

    Posted 01-03-2022 15:14
    The remote nurses must set up the equipment at their home. We put together an extensive instruction manual that is included with the work from home (WFJ) package to assist them. Our eICU nurses tend to be very technically friendly and have managed this very well. Once they set up the equipment they communicate with the COR and take a full assignment just like the nurses in the COR. They provide 24/7 monitoring, video rounding, best practice rounding, admission, discharge, intervention of patients they detect are decompensating from the expected trajectory and escalating to the bedside team and intensivist that works in our area.

    ------------------------------
    Cheryl Hiddleson
    Director Emory eICU Center
    Emory EICU Center
    Atlanta GA
    ------------------------------



  • 15.  RE: Remote Nurses

    Posted 01-03-2022 12:56
    Thank you for sharing..This is becoming more common lately, our TCC center is moving towards working from home for physicians. ​

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    Majdi Hamarshi
    Critical Care
    Saint Lukes Health System - Kansas City, MO
    Kansas City MO
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  • 16.  RE: Remote Nurses

    Posted 01-03-2022 14:12
    We are exploring this for physicians and nurses.  I'm curious as to how your Information Systems/IT department is facilitating equipment maintenance for the 5 remote positions that are being rotated?  Do the next 5 nurses get the equipment shipped to them or does the previous month's nurse send the equipment back to IT and IT sends equipment to the next nurse?  Do they set/install the equipment at each nurse's home?

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    Nilesh Dave
    Medical Director, Steward EICU Program
    Richardson TX
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  • 17.  RE: Remote Nurses

    Posted 01-03-2022 15:07
    I actually own the equipment. The nurses bring the equipment back to the COR and the next nurse in the rotation comes and picks it up. Between each rotation each nurse has to test the equipment before taking it home to ensure all applications we use are functioning correctly. It does provide updates and support if there are any issues, but we have primary ownership.

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    Cheryl Hiddleson
    Director Emory eICU Center
    Emory EICU Center
    Atlanta GA
    ------------------------------